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Goals: The study has been initiated in order to describe the epidemiological, clinical and etiological aspect of the ascites. Patients and methods: This was a retrospective and descriptive study on the patients with an ascite and followed at the medicine department of Borgou departmental teaching hospital. Results: A total of 190 patients have presented an ascite or a hospital prevalence at 3.93%. A male predominance has been observed with a sex-ratio at 1.7. The average age was 39.7 ± 13.9 years. The reason for consultation is dominated by the increase of the abdominal volume (69.5%). The ascite fluid is macroscopically yellow citrine. The cirrhosis (28.5%) and the heart diseases (18.6%) were the most encountered causes of the ascites. Conclusion: The etiologies of ascites are various and dominated by the hepatic cirrhosis and the heart diseases.

Introduction: Hysterectomy is one of the most performed medical interventions on women. Its impact on women’s sexual life has been poorly addressed in the sub-region. Objective: To study the impact of hysterectomy on sexuality. Patients and methods: This was an observational and prospective cross-sectional study conducted on 72 women who underwent hysterectomy in theUniversity and Departmental Hospital Borgou Alibori(CHUD-B/A) Gynecology and Obstetrics Department in Parakou, Benin, with a 5-year follow-up from January 2009 to December 2014. The Female Sexual Function Index (FSFI) scale was used as a data collection tool to assess sex life. Results: At the end of the study, the average age of women with hysterectomy was 43.7 years with extremes ages ranging from 26 to 64 years. Symptomatic uterine myoma was the first indication of hysterectomy (48.6%), abdominal (81.9%) and total (76.4%). Respondents were relieved by the intervention in (91.7%) but hysterectomy deteriorated sexual life in 34.7% cases with a decrease in sexual desire in 95.8% of cases. Excitations challenges and lubrication were 84.7% and 80.6%. Orgasm and sexual satisfaction were not significantly affected. Conclusion: Hysterectomy relieves women who have had surgery, but its repercussions on sexual life must be taken into account.

Sierra Leone is the country with highest maternal mortality and infections are the underlying cause in 11% of maternal deaths, but the real burden remains unknown. This study aims to determine the incidence and risk factors of surgical site infection (SSI) post-caesarean section (CS) in women admitted to Princess Christian Maternity Hospital (PCMH) in Freetown, Sierra Leone. A prospective case-control (1:3 ratio) study was implemented from 1 May 2018 to 30 April 2019 and 11 women presenting with suspected or confirmed infection post-CS were screened for inclusion as a case. For each case, three patients undergoing CS on the same day and admitted to the same ward, but not presenting with SSI, were selected as controls. The post-CS infection rate was 10.9%. Two hundred and fifty-four clinically confirmed cases were enrolled and matched with 762 control patients. By multivariable analysis, the risk factors for SSI were: being single (odds ratio (OR) 1.48, 95% confidence interval (CI) 1.36-1.66), low education level (OR 1.68, 95% CI 1.55-1.84), previous CS (OR 1.27, 95% CI 1.10-1.52), presenting with premature membranes rupture (OR 1.49, 95% CI 1.18-1.88), a long decision-incision time (OR 2.08, 95% CI 1.74-2.24) and a high missing post-CS antibiotic doses rate (OR 2.52, 95% CI 2.10-2.85). Copyright © The Author(s), 2020. Published by Cambridge University Press.

ObjectivesTo assess the trends concerning utilisation of maternal and child health (MCH) services before, during and after the Ebola outbreak, quantifying the contribution of a reorganised referral system (RS).DesignA prospective observational study of MCH services.SettingPujehun district in Sierra Leone, 77 community health facilities and 1 hospital from 2012 to 2017.Main outcome measuresMCH utililization was evaluated by assessing: (1) institutional deliveries, Cesarean-sections, paediatric and maternity admissions and deaths, and major direct obstetric complications (MDOCs), at hospital level; (2) antenatal care (ANC) 1 and 4, institutional delivery and family planning, at community level. Contribution of a strengthened RS was also measured.ResultsAt hospital level, there is a significant difference between trends Ebola versus pre-Ebola for maternal admissions (7, 95% CI 4 to 11, pConclusionsA stronger health system compared with other districts in Sierra Leone and a strengthened RS enabled health facilities in Pujehun to maintain service provision and uptake during and after the Ebola epidemic.